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Home My WebLink About05-5099 I. I' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5099 Permit Number: 5099 Permit Type: TEMPORARY SAL Class of Work: SPECIAL EVENT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 7422 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11/01/2005 85.00 85.00 11/01/2005 TEMP. TENT SALE Name: K-MART Address: 7422 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: av. 4TH THRU 30TH 2005 FIRE N$PECTION FEES 15.00 ~ lY""~ REINSPECTION FEES: When extra in ~ion trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i spection when called (e) Permit not posted on job site (f) Plan hot at job site (g) Work not accessible The payment of inspection fees shall be e before any further permits will be issued to the person owning same "Warning to owner: Your failure to r rd a notice of commencement may result in your paying twice for improvements to your property. If y intend to obtain financing, consult with your lender or an attorney before recording your notice of com e cement." Complete Plan "Specifications and Fee Must Accompany Application. All work shall be 'rformed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. CTORSIGNATURE ; ~M~ CALL FOR I SPECTION - 8 HOUR NOTICE REQUIRED POTECT CARD FROM WEATHER I I CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUI!LDIN(i; DEPARTMENT 5335 8TH st, Zephyrhills, FL, 33542 I 813-780-0020 FAX: 813-780-0021 ;~~,~Ji " DATE RECE lVED fI:/..::3.- ! PHONE CONTACT FOR PERMITTING OWNER'S NAME /< - );!cf.4~j JOB ADDRESS 7y d;;) G C-!/:-ec7 ~rJ1llv/< PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRU TION o SIGN o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH o COMMERCIAL rWELLING c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 5~ ~ ,30' DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o OTHER PROPOSED USE: DSGL FAMILY o INDUSTRIAL o SWIMMING POOL BUILDING SIZE SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK RESIDENTIAL: ATTACH (2) PL COMMERCIAL: ATTACH (3) SE IF SIGN PERMIT ONLY (2) S PROPERTY SURV T PLANS & (2) SETS OF BUILDING PLANS S OF BUILDING PLANS & (1) SET ENERGY TS OF ENGINEERED PLANS REQUIRED. Y REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIA TY o OTHER TYPE OF CONSTRUCTION: 0 BLO K o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO 1~m::'';'''i\';;-~~''?''71 T" --~""~-~'-~=J~'~' ~_"W" '" 7'-'-"" ,~-..~-,- - - ,- ,"""" " --- ..--;, - T' "~__II ," --~;-""-";-"'~-;"=:-,:I",:lm'7'''~7~w1!1'~ L,'jr~~ii,~t,'l't~'I{~\I(~ '~j'r 'J1r? j. I)" '\,1 ~~iij' (I', i ':{ l' I ,/1l'1'1~ l./~ ,",1 ~,"ll 'l'I'r1'lt fl:';'t~, 'I ql~1Yt1Jglllf::~ J1b[~~.:i~lLliL~~~~~~I::!.lt~:J,~I-=~~~~t,.:....,~~~_~__~_~~__~~,;.--':',,:'~.:~ I I,"" "II ,r>' ~!_f'{"J'r,~:~/i;t BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # *************** ************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST It *************** ************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST It ****************************************************************** MECHANICAL COMPANY cnr::1\lATTlRF. STATE CERT OR REGISTIt A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than city regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contrqctors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged ,20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20_ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or ~~.1 r-1 _1.! _, _~-:1:::.-_ __~ - 1~_ ............ ...._J-\-" Dwho has produced (type of identificat' ~ ,~_d H j-, '" n rl ; rl "l n t- t- n k.e.-B D..Jl-B.t r Dwho has produced ___~ (type of identification) x 6 ~ I ? II I 2~~~~',\.\.s s.'...~ ~ C!--J'--.-. \L- ~N~ Q~~D~~ ~~~ · ~~A..'~ UJ'-- ~b '-.J '-\ ~ 0- c.. s...:. O( '''\ ~ - ....\...-'L ~ ~ v--' l""'- ~~ v.J--c. I I i I I I I o~~ \)~. ..~ -\'Vu-\- V' "~ .~ ~ 0-- ~~ ~ ~ 0 v-- ~ __-U'-' L ~ ~ <:<--L'-~~~ ~~ ~ ~l,- ~ Co \-\..O~\. QD-~ ~ ~(; A~~c ~ 00- .. &~-- II KMART 3'761 Kmart 3761 7422 Gall Blvd Zephyrhil1s. FI. 33540 B13'78394S'7 J."',~bl'lOb _: ":;lpITl ,.... .......; p. 1 }~ 'f b ..~ !\ rr} :;;i .' : :~i~~:)t :',':- " . To Whom It May con4 ,; 1, Jeff Henderson, give.F ~tory Direct Furniture permission to use our parking for a tent sale starting November 2005 through November 26, 2005, They have provided me with proof of insurance : r $3,000,000 that ends January 20, 2006 Jeff Henderson Store Coach Kmart 3761 Zephyrhi1ls, FI. 33540 (r ~~\:-t~ ~~. ''-.r-J~ ~o--- ~~<;.- Q~ ~ ~ ~o ~ '->,.',-\.b;,-~) .... ... <\:J L<~ ~ G-~ "'-L ~~~ ~<>-~i1'~ ~ .~" 'L ~ ~ \..)...~ r-....~~ ~ -- . ~ <'- ~--<-.. -...""....... ~ \)- . ',,~ -Q.Jt.. ~ . ......lL ;j -u ') ~~ ""~ " 4^- C-e~ ~ b~ ~ ~c. - q l, \.-\D''\\. ~,.e:s~---~ ~q:(~C . Ov- LJ "'~ --=.--- . ~1~. ' .. ,P./l!I!llJ' ~tttificate . of jflamt l\tgtgli~l1llleJe REGISTERED .' ISSUED BY FABRIC NASI!" ~~LE TENT & AWNING COMPANY I.,;;;.;;', 01:,"';;;;;;;';;;;;" \ NUMBER NASHVILLE, TENNESSEE 37208 . r 40 0 1 I' NUFACTURERS OF THE FINISHED INO\'.2'OCI:3 l F-l. 1 ,. NT PRODUCTS DESCRIBED HEREIN I I _____.._____.. This is to certify that the -mierials described have been flame-retardan i treated lOr are in- herently noninflammable) and WHI3i. supplied to:) l=.'..... . NAME: FACTORY DIRECT FUR!!! !!!!RE ' --.---.,----.-- CITY TRINITY . _ _~ STATE NC ' .--.---'-- Certification is hereby made the I : . ; i The articles described on this Cllr1i~cate have been treated with a flame-retardartt approvHd chemical and that the application of said c!l.,mical was done in conformance with Califor'ni*! Fire Mar::;hall Code, equal to or exceeds Federal Spi ~dlfjcation NFPA 701 LARGE SCALE li ' .-------- Method of application: IAI"~~ iT ..--L::::=- 0ype, COlo< and __ Of _ 61". ~}! oz. "HIGH GLOSS" VINYl BUJE. AND WHITE. ~---.:=:=~ r _'" Of .... _.... (l)!~ X 60' Bl.lJE.IWIIITE. STIUPED PUSH POlE. TENT ~.Lf/!r"'~~~ Flame Retardant ProceH~~1 Used Will Not Be Removed By ~shill!~1 ' And Is Effective For The ILife Of The Fabric !i : I I SNYDER MANUFACTURING. 1~. DOVER. OHIO 44622 Name of ApplicatOr' of Flam ~..~ Finish Slgned~ ~ {~IAlit~~ NASHVILLE TENTiaj AWNlNlG'cc:- II@~ .~_.._.._.- r--" \l~~ \\'-\ ~~ \ ~,'- ~ \ ~~L , L ~~~~,,-,-<; ~\. 0". '~, ~C'- .. " . ~. . FROM : LONN I E BRYANT II OCT-06-2e05 16:57 FROM:HANOVER EX~ESS FAX NO. :3366259374 181Z10911i!18157 Oct. 06 2006 04:00PM Pi TO: 336625937q P.l/2 ACD~a. CERTIFICATE F LIABILITY INSURANCE M'~:--'~n. TlilS Cilfrw:lCc::.: I18U'D AI AlIA IlATIOIii ONLY AND CO NO IUCIHT8 UPON 1M! CERTlFIDATI! HOLDER. TIt. ~.IIIfllIoATE DOH NOT MENO, EXTIiND OR R YiRMI Y'NII! POUCIEllIJE OW. I NAlC . MeDIHII. ......., 1-- I _I. T,.., ..... PO IllI( t24ef III.',..., Ie .... .....1'1I\) FAeTOIY ""EeT I'IIINITUI\E p 0 lOX 4n4 HI. POINT, IlC 27283 IGliUED TO "HE INflUlilED NA.aota) ~E FOIII ~ I'OlICW 'IFUOO NlteATED. NO'IWOMIrANDING Oft CJfI1M OCQIMI!M' WIlli AE!lf'1I!CT TO WHIe" TftIG cam~TIi MAY ..ISOUED (JA DEDCRIIlI!O tfEREJN It 81.l111r'EVf TO IU tttETI'IMJ. EXI1UG1ON8" CQNIlltJONe OF OUCH ~ 8V Ii. CUlM!!. . - 1j.',;~)I,'j,l ", ' ..... M!IlI"AIr ~1U1\' ~UMlUIV QM4--(j]0CQJI0I Ot/2OI2OO5 ...120,.. A ~IINCII' liNT ~-.i!IlInIl . ___,,""'""V ,..r...... IICDl Y '!CI"," Cl'lt'_~ IWIPQIJY UAMAG[: fI"8t-...o . I OIH!A n&AN IlUTOCN.Y' ~ AOCI1E~ - ...oR,"-. -""'lAIM9IOIII'...--=,,1:IIC:UMIClNt CATIFlCAlI I." II IIDII, ... II ...ITI .. VC OJ.a....... ,....... ........... It1S18 ,.10.11: HGI.D r IIAIT 1422 MLL "LD CANe TlON IIlClU&.D MI. ", 11111"'''''11 "__lID tII:IUClII. --r-- _.... fl. ,-"l1CIt' D"lll IIIM_. -.............".... -11I"_'011", "L-. ""--'"81 ..en.. TOnti! C..,IRCA,....... ....YO_ "",..~nAlWlll 'OIlD-o.....~ - .............. OIl LMlR.1n' W AW ...n.,. T~. 1--'" 111I a_ra l-. . Fu , * 125-.3704 #oCOR ., 1001_' OCT/C6/2C05/THU 01:39 PM , I i ! I i i I i I I I I i I I I I I I , i I i I I I ! I ! I I I I , I i ZEPHYR~ JILLS BU I LD I NG FAX No, 813-780-0021 P.OOI/OOl TEMPORARY SALES CHECKLIST Ci qr of ZephyJ:}U.J;h 533S - en Street Z.phyrhiUe, .FL 33542 Phone: 813-780-0020 Fax: 813-780-0021 I I I I i I I I i ! ! I ! , i I I i i i I , I I I I I I I I 0 Plot Plan showinqsetu,p of location -r- : ~I' Notarized letter from property owner stating their ! approval " '~II I. 1:f tent is in,vol ved a flame retardant certificate is I I required. Inspection required once tent is erected. , I /~I ~proved certified fire extinguiehe;s per NFPA 10 ~ I ~! .No smoking siqn8 must placed outside entrances , I ~ I Wire fence or, chain link fencing must have at least , I 5 tt setback from 'tent and at least 2 exits ~ ! I " ~. If tent has sides-the sides shail be in the up positi~, ,;, ,unless thel;'e is incllillllent weather, then 2 sides must ~ I I in the up position M ~ i : I ~ ~ ~" fY1!J '(::) ~ i--. (..) C is':'Y If fireworks are involved the following . Proof 'of :state license Proof of liability insurance City registration tee of $20.00 List of items to be sold at site Fire Dept. fee $25.00 is required: i i i I I ~he following fees are applicable: I I . . I 'I, ' / rr-poz:;p:Y sal_ pez:ait: $5.00 :for the lac:. two, day. and $1.00 per )J ~y :fo,each con.ecutive daythez:eafeor, not to e~ceed duration of ~O con,ecutive days and no more than ~ occurrence per calendar ',year per Ordinance *408. ' ,L , I' .-'(' :'l!ent p~xmu (;if app1i.cahle): ~35. 00 + $15.00 l'ire Dept. - $50.00 '/D ilectrtca1 pa:raj.t, (,if app~icabl.): $35. o~o , J, - " i I' '" \L~~, ,~~,,-~C)0 I I ~ ,~,:J) I,p:roperty o~'fner: ~C~C ~\<: \. . ~ ~, .A. c~ ' '-'-- "\. >'-~ '->-....:s-e..... i "I, ~ v ' . iApplk~nt: ~F:>-, ". y, \r ~.". IPhone ~=tact' . ~ '-(, - ~ q;l-'-\\. '!~ IAddre$~ site: ",\dd. , c-'7~'\.\. ~.'\..,;s-l0 . !Dates~tSa1e: ~~0 ~- "~ry ~'()O<: ,i' ' , ~~~ ~~S'. ~ f.:':) ("'-J C/) -.J -' :x: fE .:r: Q k:' lL. a .>- I- G {~